Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Graft Skin 6x8cm Surgiclose <48 Sq Cm>
McCall, ID
See all hospitals reporting HCPCS Q4158 →Price type
St Luke's McCall, LTD’s median price of $118 is 22% below the median hospital's median price ($152), higher than 24% of the 1,530 hospitals reporting HCPCS Q4158. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna hb mccall cigna fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 2 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $108 | $146 | $116 | 80% | — | $36 – $372 |
| 3 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $108 | $146 | $116 | 80% | — | $36 – $372 |
| 4 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $110 | $147 | $117 | 80% | — | $36 – $376 |
| 5 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $111 | $148 | $118 | 80% | — | $37 – $380 |
| 6 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $119 | $160 | $127 | 80% | — | $40 – $410 |
| 7 | Bcbs Id hb mccall bci percent of total billed charges · inpatientfrom % of charges | $165 | $221 | $176 | 80% | — | $55 – $565 |
| 8 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · inpatientfrom % of charges | $165 | $221 | $176 | 80% | — | $55 – $565 |
| 9 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $168 | $226 | $180 | 80% | — | $56 – $578 |
| 10 | Cigna hb mccall cigna percent of total billed charges · inpatientfrom % of charges | $174 | $233 | $186 | 80% | — | $58 – $597 |
| 11 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $178 | $238 | $190 | 80% | — | $59 – $610 |
| 12 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $178 | $238 | $190 | 80% | — | $59 – $610 |
| 13 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $180 | $241 | $192 | 80% | — | $60 – $616 |
Last updated: Mar 25, 2026
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